Healthcare Provider Details

I. General information

NPI: 1881755700
Provider Name (Legal Business Name): ANITA MARIE CIPRIANO L.C.S.W. , M.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 09/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 E MAIN ST
ANSONIA CT
06401-1964
US

IV. Provider business mailing address

2 LAKEVIEW DR
MIDDLEBURY CT
06762-3424
US

V. Phone/Fax

Practice location:
  • Phone: 203-736-2905
  • Fax:
Mailing address:
  • Phone: 203-228-3416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: